Job Summary
We are seeking a detail-oriented and proactive Medical Claims Analyst to join our dynamic healthcare team. In this role, you will be responsible for reviewing, analyzing, and processing medical claims to ensure accurate reimbursement and compliance with industry standards. Your expertise will help streamline claims workflows, resolve discrepancies, and support the overall efficiency of our medical billing operations. This position offers an exciting opportunity to contribute to high-quality healthcare services through meticulous claims management and coding accuracy.

Duties

• Review and analyze medical claims for completeness, accuracy, and compliance with billing guidelines and coding standards such as ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) classifications.
• Apply appropriate medical coding to diagnoses, procedures, and services using EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems to ensure precise billing.
• Identify discrepancies or errors in medical records, bills, or coding entries, and communicate effectively with healthcare providers or insurance carriers to resolve issues.
• Conduct thorough audits of medical records and documentation to verify proper coding and billing practices.
• Collaborate with medical offices and collections teams to facilitate timely payment processing and follow-up on outstanding claims.
• Maintain detailed records of claims processing activities, adjustments, denials, and appeals for audit purposes.
• Stay current with evolving industry regulations, coding updates, and best practices in medical billing and collections.

Qualifications

• Proven experience in medical billing, coding, or claims analysis within a healthcare setting.
• Strong knowledge of ICD-10 diagnosis codes, CPT procedure codes, DRG classifications, and related coding standards.
• Familiarity with medical terminology, medical records management, and insurance claim processes.
• Experience working with EMR/EHR systems for documentation review and data entry.
• Excellent attention to detail with the ability to identify errors or inconsistencies in complex data sets.
• Effective communication skills for liaising with healthcare providers, insurance companies, and internal teams.
• Basic understanding of medical collection processes and healthcare compliance regulations.
• Join us as a Medical Claims Analyst to play a vital role in ensuring accurate claims processing that supports quality patient care! Your expertise will drive efficiency in our billing operations while maintaining transparency and compliance across all workflows. We value energetic professionals eager to make a meaningful impact in healthcare administration!

Pay: From $17.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• Medical Billing: 1 year (Required)

License/Certification:

• Certified Professional Coder (Preferred)

Location:

• Billings, MT 59101 (Required)

Work Location: In person